Search › Washington › 101YA0400X
Robert Lagerquist, CHEMICAL DEPENDENCY
NPI 1699911875 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1505 Kla-Ook-Wa Street
Taholah, WA 98587 - Phone
- (360) 276-4405
- Fax
- (360) 276-4474
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington